Abstract:
INTRODUCTION:Emergency pediatric life support (EPLS) of children infected with transmissible respiratory diseases requires adequate respiratory protection for medical first responders. Conventional air-purifying respirators (APR) and modern loose-fitting powered air-purifying respirator-hoods (PAPR-hood) may have a different impact during pediatric resuscitation and therefore require evaluation. OBJECTIVE:This study investigated the influence of APRs and PAPR-hoods during simulated pediatric cardiopulmonary resuscitation. METHODS:Study design was a randomized, controlled, crossover study. Sixteen paramedics carried out a standardized EPLS scenario inside an ambulance, either unprotected (control) or wearing a conventional APR or a PAPR-hood. Treatment times and wearer comfort were determined and compared. RESULTS:All paramedics completed the treatment objectives of the study arms without adverse events. Study subjects reported that communication, dexterity and mobility were significantly better in the APR group, whereas the heat-build-up was significantly less in the PAPR-hood group. Treatment times compared to the control group did not significantly differ for the APR group but did with the PAPR-hood group (261±12 seconds for the controls, 275±9 seconds for the conventional APR and 286±13 seconds for the PAPR-hood group, P < .05. CONCLUSIONS:APRs showed a trend to better treatment times compared to PAPR-hoods during simulated pediatric cardiopulmonary resuscitation. Study participants rated mobility, ease of communication and dexterity with the tight-fitting APR system significantly better compared to the loose-fitting PAPR-hood.
journal_name
Prehosp Disaster Medjournal_title
Prehospital and disaster medicineauthors
Schumacher J,Gray SA,Michel S,Alcock R,Brinker Adoi
10.1017/S1049023X12001525subject
Has Abstractpub_date
2013-02-01 00:00:00pages
33-8issue
1eissn
1049-023Xissn
1945-1938pii
S1049023X12001525journal_volume
28pub_type
杂志文章,随机对照试验abstract:BACKGROUND:The current Fire/Emergency Medical Services (EMS) model throughout the United States involves emergency vehicles which respond from a primary location (ie, firehouse or municipal facility) to emergency calls. Quick response vehicles (QRVs) have been used in various Fire/EMS systems; however, their effectiven...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X15004732
更新日期:2015-08-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X16001412
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00043144
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journal_title:Prehospital and disaster medicine
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pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 临床试验,杂志文章
doi:
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pub_type: 杂志文章
doi:10.1017/S1049023X20001260
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章,评审
doi:10.1017/s1049023x00001230
更新日期:2003-10-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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pub_type: 杂志文章,实务指引
doi:10.1017/S1049023X12000064
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pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
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abstract::Specific Event Identifiers a. Event Type: Earthquake measuring 6.2 (SD=0.016) on the moment magnitude; b. Event Onset: August 24, 2016 - 03:36:32 CEST (01:36 UTC); c. Location of Event: Central Italy, in the town of Amatrice; d. Geographic Coordinates: latitude (DMS): 42°37'45.77″N; longitude (DMS): 13°17'18.14″E; ele...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X17007075
更新日期:2018-02-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章,多中心研究
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更新日期:2018-10-01 00:00:00
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